Active NPI
Christine Shana Boehmer, PA-C
- Physician Assistant
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085010137
- Practice address
- 3569 Ridge Rd
Cleveland, OH 44102-5443 - Phone
- (216) 281-0872
- Fax
- (216) 281-9721
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085010137 | IL | Primary |
Addresses
Primary practice location
3569 Ridge Rd
Cleveland, OH 44102-5443
Mailing address
2755 N Lincoln Ave Apt 3
Chicago, IL 60614-7438
Other practice location 1
3204 W 26th St
Chicago, IL 60623-4031
Phone (773) 927-3100
Other practice location 2
3700 W 26th St
Chicago, IL 60623-3824
Phone (773) 542-5203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240603002486 | IL | Practitioner - Physician Assistant | 7810439189 | Reassigns benefits to 1 organization |
| I20251103003923 | OH | Practitioner - Physician Assistant | 7810439189 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neighborhood Health Care Incorporated
Practice addresses (Care Compare)
14625 Puritas Ave
Cleveland, OH 44135-2815
Phone (216) 281-0872
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Community Health Network | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Access Community Health Network | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients |
Locations
3700 W 26th St
Chicago, IL 60623
Phone (773) 542-5203
3204 W 26th St
Chicago, IL 60623
Phone (773) 927-3100
600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000
14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950
3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860
2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800
13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046
6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733
4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129
3569 Ridge Rd
Cleveland, OH 44102
11906 Madison Ave
Lakewood, OH 44107
Interoperability endpoints
- cboehmer823061@direct.ochin.org
Organizations & group practices 20
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Des Plaines, IL
- NPI 1982783692
IL
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1295786267
-
- Pharmacy
- Cleveland, OH
- NPI 1205327095
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1306268677
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1316148745
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1326690934
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1437539517
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1477823565
-
- Federally Qualified Health Center (FQHC)
- Lakewood, OH
- NPI 1669146908
-
- Federally Qualified Health Center (FQHC)
- Lakewood, OH
- NPI 1831666965
-
- Pharmacy
- Cleveland, OH
- NPI 1427847854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1134840903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 N LINCOLN AVE APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 RIDGE RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441025443",
"telephone_number": "216-281-0872",
"fax_number": "216-281-9721"
}
],
"practiceLocations": [
{
"address_1": "3204 W 26th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606234031",
"country_code": "US",
"telephone_number": "773-927-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 W 26th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606233824",
"country_code": "US",
"telephone_number": "773-542-5203",
"fax_number": "773-927-3557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOEHMER",
"first_name": "CHRISTINE",
"middle_name": "SHANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085010137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.